Presentation
A known case of secondary hyperparathyrodism due to end stage renal disease
Patient Data
Age: 40 years
Gender: Male
From the case:
Salt and pepper sign - skull
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/21041/annotated_viewer_json?lang=us"}
Coarse granular appearance is seen on lateral radiography.
Case Discussion
Multiple small areas on the lateral skull radiograph due to trabecular bone resorption, loss of spongiosa and fibrous replacement . This appearance in a patient with end stage renal disease and secondary hyperparathyrodism is called salt and pepper sign.